Unit information: Year 1 BDS in 2020/21

Unit name	Year 1 BDS
Unit code	ORDS10019
Credit points	120
Level of study	C/4
Teaching block(s)	Academic Year (weeks 1 - 52)
Unit director	Mrs. Liz Gaze
Open unit status	Not open
Pre-requisites	None
Co-requisites	None
School/department	Bristol Dental School
Faculty	Faculty of Health Sciences

Description including Unit Aims

Description:
Year 1 BDS provides the early education and training within a curriculum based on the student dentist as a Person and Citizen, a Scientist and Scholar, a Practitioner, and a Professional and Agent of change. These major themes comprise ‘helical’ themes, with fundamental active and experiential learning in Year 1 which will seamlessly extend throughout the five year programme to allow progression towards achieving the requisite learning outcomes necessary to become a registered dentist. Initially a 10-week Foundations of Dentistry course will provide an introduction to student life and study at University. Course content will include study skills teaching; introductory biomedical sciences teaching essential for later activities within the Year and programme; fundamentals of communication, ethics and teamworking; and introduction to clinics and observational assisting. Foundations of Dentistry will conclude with a conference where students present a topic of particular interest to them. The remainder of the unit will focus on the Student Dentist as a Practitioner with learning on 11 through structured clinical topics, each of these supported by appropriate biomedical and social sciences teaching, and with opportunities for interprofessional learning and teamwork with students training to be dental hygienists and therapists. In Year 1 there will be strong focus on wellbeing and study skills, as part of the initial delivery of ‘Student Dentist as Person and Citizen’ helical themes. Project work and early focus on evidence-based dentistry will contribute, with biomedical sciences teaching, to ‘Scholar and Scientist’ themes, and professionalism and accountability emphasised alongside opportunities for teamwork with peers and with hygiene and therapist students, within ‘Professional and Agent of Change’ helical themes.

Aims:
1. To welcome the student as a valued member of the Bristol Dental School community
2. To develop the student as an adult learner and inspire them in the study of dentistry
3. To ensure a thorough understanding of the basic underlying scientific principles of the form and function of the human body with particular focus on the head and neck
4. To encourage students to view health, illness and health care within social, cultural and ethical contexts
5. To provide opportunities for students to become familiar with, and safe within, the clinical environment
6. To introduce the student to the NHS healthcare environment and dental healthcare teams
7. To initiate training in communication skills and use of dental terminology
8. To start developing students’ professional behaviour and understanding of the duty of candour
9. To train and certify the student in basic life support
10. To support students in beginning to deal with the complexity, uncertainty and change inherent in dental practice

Intended Learning Outcomes

Year 1 initiates delivery of the following GDC Preparing for Practice (2015) learning outcomes (LOs) (to be continued in subsequent years of the programme).

Knowledge and Understanding

OVERARCHING OUTCOMES

1. Recognise the role and responsibility of being a registrant and demonstrate professionalism through their education, training and practice in accordance with GDC guidance
2. Recognise the importance of lifelong learning and apply it to practice

CLINICAL

1. Individual patient care - GDC LOs 1.1.5, 1.1.8, 1.1.10
2. Patient Management - GDC LOs 1.7.9
3. Health promotion and disease prevention - GDC LOs 1.10.1
4. Hard and soft tissue disease - GDC LOs 1.12.1
5. Population-based health and care - GDC LOs 2.1

COMMUNICATION

1. Patients, their representatives and the public - GDC LOs 3.2

PROFESSIONALISM

1. Ethical and legal - GDC LOs 7.4
2. Teamwork - GDC LOs 8.3

Intellectual skills and attributes

OVERARCHING OUTCOMES

1. Describe the principles of good research, how to access research and interpret it for use as part of an evidence-based approach to practice
2. Apply an evidence-based approach to learning, practice, clinical judgment and decision making and utilise critical thinking and problem solving skills
3. Accurately assess their own capabilities and limitations, demonstrating reflective practice, in the interest of high quality patient care and act within these boundaries

CLINICAL

1. Individual patient care - GDC LOs 1.1.1-2

Other skills and attributes (practical/professional/transferable)

OVERARCHING OUTCOMES

1. Practise safely and effectively, making the high quality long term care of patients the first concern

CLINICAL

1. Individual patient care - GDC LOs 1.1.3-4, 1.1.6-9, 1.1.13
2. Comprehensive patient assessment - GDC LOs 1.2.1-2, 1.2.5-6
3. Treatment planning - GDC LOs 1.5.3-4
4. Patient management - GDC LOs 1.7.1-2, 1.7.4
5. Patient and public safety - GDC LOs 1.8.1-7
6. Health promotion and disease prevention - GDC LOs 1.10.2-4, 1.10.7
7. Management and treatment of periodontal disease - GDC LOs 1.11.1
8. Management of the developing and developed dentition – GDC LOs 1.13.1, 1.13.3

COMMUNICATION

1. Patients, their representatives and the public - GDC LOs 3.1--4
2. Team and the wider healthcare environment - GDC LOs 4.1, 4.3-4
3. Generic communication skills - GDC LOs 5.1, 5.3-5

PROFESSIONALISM

1. Patients and the public - GDC LOs 6.2-5
2. Ethical and legal - GDC LOs 7.1-3, 7.5
3. Teamwork - GDC LOs 8.1-2
4. Development of self and others – GDC LOs 9.1-4, 9.6-7

MANAGEMENT AND LEADERSHIP

1. Managing self - GDC LOs 10.1-3, 10.6-8
2. Managing and working with others - GDC LOs 11.1-3, 11.5, 11.7-9
3. Managing the clinical and working environment - GDC LOs 12.1-2, 12.5

Year 1 initiates delivery of Bristol Skills Framework learning outcomes and attributes (to be continued in subsequent years of the programme)

Teaching Information

The teaching and learning methods to be adopted in Year 1 reflect the aim of developing students as adult learners, whilst recognising that this takes time to develop. From day one, students should feel they are preparing to become a dentist. They should learn to study with support of their peers, mentors and lecturers. Practical procedures and learning with students from the full dental team are all highly valued.

The teaching methods used are:

• Lecture-style content, and use of the 'flipped' classroom
• Peer group work
• Private study time, supported by library and electronic learning
• Electronic learning packages (supporting teaching, self-directed learning and formative assessment)
• Practical teaching: laboratory, anatomy, clinical skills
• Clinical environments; clinical biosciences
• Access to dentists, scientists, researchers, allied health professionals and community health teams

Teaching will use a blended learning approach delivered through a combination of synchronous and asynchronous activities. Students will be expected to engage with all learning.

Students will be pre-allocated to act as patients for a variety of their peers during the course of these sessions. This teaching approach enables students to develop the necessary skills and attitudes required for treating the diverse range of patients that will be encountered during the programme and within the wider population. Using peers as patients effectively supports the development of practical and patient management skills required for the transition to first patient care, and is underpinned by a range of General Dental Council Learning Outcomes within the domains of clinical care, communication, professionalism, and management and leadership (see 'Intended Learning Outcomes' above). Procedures where students will be required to act as patients include: history taking, examination of the head and neck, examination of the oral cavity (including the charting of teeth and periodontium), recording plaque indices, oral health advice, removal of dental deposits (as appropriate), suction practice, impression taking, and the delivery of local anaesthesia. This teaching approach will be fully supported by a process of informed consent, and an appropriate level of supervision by clinical teaching staff.

Assessment Information

Summative assessments

The End of Year 1 Assessments are taken during the May/June assessment period and are a test of application of knowledge derived from all the Year 1 learning opportunities.

• Part 1) A 2-hour Multiple Short Answer (MSA) written paper (50% weighting)
• Part 2) A 2-hour Single Best Answer (SBA) e-Assessment (50% weighting)

Students must achieve a minimum standard set pass mark (scaled to 50%) for each Part in order to pass the Unit. Compensation will be allowed between Parts 1 and 2, providing a minimum score of 45% in either Part is achieved. There is no compensation permitted with Part 3.

Formative assessments

• Blackboard e-assessments
• Mid-sessional integrated knowledge assessments
• Regular review of a personal development portfolio with a personal tutor offering you opportunities to gain the important skills articulated in the Bristol Skills Framework.

Reading and References

• Baynes & Dominiczak. 4th Edition (2014) Medical Biochemistry. Mosby. ISBN: 9780323313636
• Devlin TM. 7th Edition. (2010) Textbook of biochemistry with clinical correlations. Wiley and Sons.
• Levy MN, Koeppen BM, Stanton BA. Berne and Levy principles of physiology. 4th rev ed. Elsevier Mosby; 2005. ISBN 9780323031950.
• Pocock G, Richards CD, Richards DA. Human physiology. 5th rev ed. Oxford University Press; 2017. ISBN 978-0198737223
• Hall JJ, Guyton AC. Textbook of medical physiology. 13th ed. Elsevier Saunders; 2015. ISBN 978-1455770052.
• Young B, ODowd G, Woodford P. Wheaters functional histology. 6th ed. Churchill Livingstone; 2013. ISBN 9780702047473
• Barry AM,Yuill C. Understanding the Sociology of Health. 4th ed. London: Sage Publications Ltd; 2016. ISBN 9781473929456.
• Scambler, G. editor. Sociology as applied to medicine. 6th ed. Edinburgh: Elsevier Saunders; 2008. ISBN 9780702029011.
• Scambler S, Scott SE, Asimakopoulou K.2016.Sociology & Psychology for the Dental Team, Cambridge: Polity Press. ISBN: 9780745654348
• BDA Clinical Guide Series : A Clinical Guide to Oral Diagnosis and Treatment Planning
• Newsome P, Smales R, Yip K ; Oral Diagnosis and Treatment Planning: part 1. Introduction. BDJ 2012; 213: 15-19
• FGDP Openstandards (https://www.fgdp.org.uk/guidance-standards/clinical-examination-and-record-keeping-0)
• Whawell SA, Lambert DW. Basic Sciences for Dental Students. 2018. Whiley Blackwell. ISBN 9781118905579
• Rohen, J. W., Yokochi, C., LüTjen-Drecoll, E. Color atlas of anatomy: a photographic study of the human body, Wolters Kluwer
• van Noort R. Introduction to dental materials. 4th ed. Elsevier Mosby; 2013. ISBN 9780723436591
• Murray P, Rosenthal K, Pfaller M. 8th ed. Medical Microbiology. Elsevier Saunders: 2015. ISBN: 9780323299565
• Rang and Dale's Pharmacology, 8th edition 2015, by James M. Ritter, Rod J. Flower, Graeme Henderson, Humphrey P. Rang
• Millican P, Heritage J. Studying Science, second edition: A guide to undergraduate success. 2nd ed. Lanternpublishing. ISBN: 9781907904509